Information Collection

Medical consultation and examinations - Hazardous Chemicals

IC 254014 under ICR 202503-1218-004 · OMB 1218-0131.

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IC Title:	Medical consultation and examinations - Hazardous Chemicals	Agency IC Tracking Number:	1218-0131(2025)

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 29 CFR 1910.1450

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Workforce Management

Subfunction: Worker Safety

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 125,636	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 5 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	843,099	169,232	673,867
Annual IC Time Burden (Hours)	415,694	83,438	332,256
Annual IC Cost Burden (Dollars)	42,357,006	-41,209,605	83,566,611

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.